Zoll m series maintenance test checklist – ZOLL M Series Defibrillator Rev R User Manual

Page 153

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(Sheet 1 of 2)

ZOLL M Series
Maintenance Test Checklist

Serial No.

Location

Tester

Signature

Date

Use this checklist to
record the results of the
M Series maintenance
tests, and keep it for
your records.

1.0

Physical Inspection

2.0

Front Panel Button
Test

3.0

Leads Test.

4.0

Power Supply Test

5.0

Leakage Current
Test

6.0

Paddles Test

7.0

Heart Rate Display
Test

8.0

Calibrating Pulses
Test

9.0

Notch Filter Test

10.0 Heart Rate Alarm

Test

11.0 Defibrillator

Self Test

12.0 Synchronized

Cardioversion Test

Result of Check:

o No action required

o Minor problems corrected

o Disposable supplies

replaced

o Major problems identified

(unit out of service)

Additional Remarks

Pass Fail

N/A

1.1

o

o

o

1.2

o

o

o

1.3

o

o

o

1.4

o

o

o

1.5

o

o

o

1.6

o

o

o

1.7

o

o

o

1.8

o

o

o

1.9

o

o

o

1.10

o

o

o

1.11

o

o

o

1.12

o

o

o

1.13

o

o

o

1.14

o

o

o

1.15

o

o

o

Pass Fail

N/A

2.1

o

o

o

2.2

o

o

o

2.3s

o

o

o

2.4

o

o

o

2.5

o

o

o

2.6

o

o

o

2.7

o

o

o

2.8

o

o

o

2.9

o

o

o

2.10

o

o

o

2.11

o

o

o

2.12

o

o

o

2.13

o

o

o

2.14

o

o

o

2.15

o

o

o

2.16

o

o

o

2.17

o

o

o

2.18

o

o

o

2.19

o

o

o

2.20

o

o

o

2.21

o

o

o

2.22

o

o

o

2.23

o

o

o

2.24

o

o

o

Pass Fail

N/A

3.1

o

o

o

3.2

o

o

o

3.3

o

o

o

3.4

o

o

o

Pass Fail

N/A

4.1

o

o

o

4.3

o

o

o

4.4

o

o

o

4.5

o

o

o

4.6

o

o

o

4.8

o

o

o

4.9

o

o

o

4.10

o

o

o

Pass Fail

N/A

5.1

o

o

o

Pass Fail

N/A

6.1

o

o

o

6.2

o

o

o

6.3

o

o

o

6.4

o

o

o

6.5

o

o

o

6.6

o

o

o

6.7

o

o

o

6.8

o

o

o

Pass Fail

N/A

7.1

o

o

o

Pass Fail

N/A

8.2

o

o

o

Pass Fail

N/A

9.3

o

o

o

Pass Fail

N/A

10.1

o

o

o

10.2

o

o

o

10.3

o

o

o

10.4

o

o

o

10.5

o

o

o

10.6

o

o

o

10.7

o

o

o

10.8

o

o

o

10.9

o

o

o

10.10

o

o

o

10.11

o

o

o

10.12

o

o

o

10.13

o

o

o

10.14

o

o

o

Pass Fail

N/A

11.1

o

o

o

11.2

o

o

o

11.3

o

o

o

11.4

o

o

o

11.5

o

o

o

11.6

o

o

o

11.7

o

o

o

Pass Fail

N/A

12.2

o

o

o

12.3

o

o

o

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